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UT PSY 394Q - Lecture Notes

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Figure 3. Average effect sizes of four studies comparing cognitive—behavioral therapy for social phobia with waiting list or supportive therapy. (*Weighted average by outcome measure. TX = treatment; Anx/Phob = anxiety/phobia; FNE = fear of negative evaluation; COG = cognitive.) Page 19 of 1910/8/2000http://spider.apa.org/ftdocs/ccp/1993/april/ccp612248.htmlTable 4. Figure 1. Average effect sizes (ESs) of five studies comparing cognitive—behavioral therapy for generalized anxiety disorder (GAD) with waiting list, nondirective therapy, or pill placebo. (Pre-FU = pre-follow-up; TX = treatment; Pre-Post = pretest to posttest.) Figure 2. Average effect sizes of three studies comparing Beck-Emery/Clark-Salkovskis cognitive therapy for panic disorder with waiting list or supportive therapy and four studies comparing cognitive—behavioral therapy for panic disorder (PD) with and without agoraphobia (AGOR) with waiting list or pill placebo. (*Weighted average by outcome measure. Cog = cognitive; TX = treatment; Comb = combined.) Page 18 of 1910/8/2000http://spider.apa.org/ftdocs/ccp/1993/april/ccp612248.htmlWilliams, S. L. & Rappoport, A. (1983). Cognitive treatment in the natural environment for agoraphobics. Behavior Therapy, 14, 299-313. Zung, W. W. K. (1971). A rating instrument for anxiety disorders. 1 In two studies ( Barlow et al., 1984 ; Borkovec & Mathews, 1988 ), clients with panic disorder were included in the sample. These investigations have been retained for this article because in both cases there were no significant differences in treatment response for the generalized anxiety disorder versus panic disorder groups. 2 For a diagnosis of generalized anxiety disorder according to the DSM—III—R , symptoms must have persisted for 6 months; however, a duration of only 1 month was required under the DSM—III scheme. 3 CBT for anxiety disorders often includes some exposure in the form of behavioral experiments or probes for anxious cognitions, except when, for theoretical reasons, investigators exclude such interventions (e.g., Margraf & Schneider, 1991 ). Treatments we are calling combinations differ from CBT alone in the extent to which exposure was provided or assigned by the therapist as an important treatment component in its own right and in the systematic manner in which exposure was performed. Table 1. Table 2. Table 3. Page 17 of 1910/8/2000http://spider.apa.org/ftdocs/ccp/1993/april/ccp612248.htmlMeichenbaum, D. (1975). Self-instructional methods.(In F. H. Kanfer & A. P. Goldstein (Eds.), Helping people change (pp. 357—391). Elmsford, NY: Pergamon Press.) Mersch, P. P. A., Emmelkamp, P. M. G., Bogels, S. M. & van der Sleen, J. (1989). Social phobia: Individual response patterns and the effects of behavioral and cognitive interventions. Behaviour Research and Therapy, 27, 421-434. Meyer, T. J., Miller, M. L., Metzger, R. L. & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487-495. Michelson, L. K. & Marchione, K. (1991). Behavioral, cognitive, and pharmacological treatments of panic disorder with agoraphobia: Critique and synthesis. Journal of Consulting and Clinical Psychology, 39, 100-114. Michelson, L., Marchione, K. & Greenwald, M. (1989, November). Cognitive-behavioral treatments of agoraphobia. (Paper presented at the meeting of the Association for Advancement of Behavior Therapy, Washington, DC) Michelson, L., Marchione, K., Greenwald, M., Glanz, L., Testa, S. & Marchione, N. (1990). Panic disorder: Cognitive-behavioral treatment. Behaviour Research and Therapy, 28, 141-152. Michelson, L., Mavissakalian, M. & Marchione, K. (1988). Cognitive, behavioral, and psychophysiological treatments of agoraphobia: A comparative outcome investigation. Behavior Therapy, 19, 97-120. Michelson, L., Schwartz, R. M. & Marchione, K. E. (1992). States-of-Mind model: Cognitive balance in the treatment of agoraphobia–II. Advances in Behaviour Research and Therapy, 13, 193-213. Newman, C. F., Beck, J. S., Beck, A. T. & Tran, G. Q. (1990, November). Efficacy of cognitive therapy in reducing panic attacks and medication. (Paper presented at the meeting of the Association for Advancement of Behavior Therapy, San Francisco) Norcross, J. C. & Prochaska, J. O. (1982). A national survey of clinical psychologists: Affiliations and orientations. The Clinical Psychologist, 35, (3) 4-8. Öst, L.-G. & Westling, B. E. (1991). Treatment of panic disorder by applied relaxation vs. cognitive therapy. (Manuscript in preparation) Öst, L.-G., Westling, B. E. & Hellstrom, K. (1991). Applied relaxation, exposure in vivo, and cognitive methods in the treatment of agoraphobia. (Manuscript submitted for publication) Power, K. G., Jerrom, D. W. A., Simpson, R. J., Mitchell, M. J. & Swanson, V. (1989). A controlled comparison of cognitive-behaviour therapy, diazepam and placebo in the management of generalized anxiety. Behavioural Psychotherapy, 17, 1-14. Power, K. G., Simpson, R. J., Swanson, V., Wallace, L. A., Feistner, A. T. C. & Sharp, D. (1990). A controlled comparison of cognitive-behaviour therapy, diazepam, and placebo, alone and in combination, for the treatment of generalised anxiety disorder. Journal of Anxiety Disorders, 4, 267-292. Renneberg, B., Chambless, D. L. & Gracely, E. J. (1992). Prevalence of SCID-diagnosed personality disorders in agoraphobic outpatients. Journal of Anxiety Disorders, 6, 111-118. Smith, M. L. & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32, 752-760. Smith, T. W. & Zurawski, R. M. (1983). Assessment of irrational beliefs: The question of discriminant validity. Journal of Clinical Psychology, 39, 976-979. Sokol, L., Beck, A. T., Greenberg, R. L., Wright, F. D. & Berchick, R. J. (1989). Cognitive therapy of panic disorder: A nonpharmacological alternative. Journal of Nervous and Mental Disease, 177, 711-716. Stravynski, A., Marks, I. & Yule, W. (1982). Social skills problems in neurotic outpatients. Archives of General Psychiatry, 39, 1378-1384. Trull, T. J., Nietzel, M. T. & Main, A. (1988). The use of meta-analysis to assess the clinical significance of behavior therapy for agoraphobia. Behavior Therapy, 19, 527-538. Watson, D. & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457. Page 16 of


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UT PSY 394Q - Lecture Notes

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